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Family and community practices that promote child survival growth and development. A review of the evidence.
Z Hill,BR Kirkwood,KM Edmond +2 more
TLDR
The evidence for twelve key practices identified by UNICEF and WHO to be of key importance in providing good home-care for the child concerning the prevention or treatment of the IMCI conditions in order to ensure survival reduce morbidity and promote healthy growth and development is presented.Abstract:
Every year nearly 11 million children die before reaching their fifth birthday and most of them during their first year of life. Most of these deaths (98% in 2002) are in developing countries; more than half are due to acute respiratory infections diarrhoea measles malaria and HIV/AIDS. In addition malnutrition underlies 54% of all child deaths. Projections based on the 1996 analysis The Global Burden of Disease indicate that these conditions will continue to be major contributors to child deaths in 2020 unless significant efforts are made to control them. In response to this challenge the United Nations Children’s Fund (UNICEF) and the World Health Organization (WHO) developed the Integrated Management of Childhood Illness (IMCI) strategy which focuses on these five conditions and which includes three main components: Improvements in the case management skills of health workers through the provision of locally adapted guidelines on IMCI and through activities to promote their use. Improvements in the health system that are required for the effective management of childhood illness. Improvements in family and community practices. This paper addresses improvements in family and community practices. More specifically it presents the evidence for twelve key practices (see below) identified by UNICEF and WHO to be of key importance in providing good home-care for the child concerning the prevention or treatment of the IMCI conditions in order to ensure survival reduce morbidity and promote healthy growth and development. It does not include the four additional practices added following a meeting of UNICEF the WHO Regional Office for Africa and nongovernmental organizations(NGO) which took place in Durban South Africa in June 2000 as these practices will need additional work to reach a specificity whose impact can be measured. (excerpt)read more
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Journal ArticleDOI
How many child deaths can we prevent this year
TL;DR: The findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them.
Journal ArticleDOI
What works? Interventions for maternal and child undernutrition and survival.
Zulfiqar A Bhutta,Tahmeed Ahmed,Robert E. Black,Simon Cousens,Kathryn G. Dewey,Elsa Regina Justo Giugliani,Botool A. Haider,Betty R. Kirkwood,Saul S. Morris,Harshpal Singh Sachdev,Meera Shekar +10 more
TL;DR: To eliminate stunting in the longer term, existing interventions that were designed to improve nutrition and prevent related disease could reduce stunting at 36 months by 36%; mortality between birth and 36 monthsBy about 25%; and disability-adjusted life-years associated with stunting, severe wasting, intrauterine growth restriction, and micronutrient deficiencies by about 25%.
Repositioning nutrition as central to development: a strategy for large-scale action.
TL;DR: The unequivocal choice now is between continuing to fail as the global community did with HIV/AIDS for more than a decade or to finally make nutrition central to development so that a wide range of economic and social improvements that depend on nutrition can be realized.
Journal ArticleDOI
Community-Based Interventions for Improving Perinatal and Neonatal Health Outcomes in Developing Countries: A Review of the Evidence
TL;DR: A package of priority interventions to include in programs is identified and research priorities for advancing the state of the art in neonatal health care are formulated for future research and program learning.
Journal ArticleDOI
Effect of community-based newborn-care intervention package implemented through two service-delivery strategies in Sylhet district, Bangladesh: a cluster-randomised controlled trial.
Abdullah H Baqui,Abdullah H Baqui,Shams El-Arifeen,Gary L. Darmstadt,Saifuddin Ahmed,Emma K. Williams,Habibur R Seraji,Habibur R Seraji,Ishtiaq Mannan,Ishtiaq Mannan,Syed Moshfiqur Rahman,Rasheduzzaman Shah,Rasheduzzaman Shah,Samir K. Saha,Uzma Syed,Peter J. Winch,Amnesty E LeFevre,Mathuram Santosham,Robert E. Black +18 more
TL;DR: A home-care strategy to promote an integrated package of preventive and curative newborn care is effective in reducing neonatal mortality in communities with a weak health system, low health-care use, and high Neonatal mortality.
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